Nwachukwu Benedict U, McCormick Frank, Martin Scott D
Department of Orthopedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A.
Arthrosc Tech. 2013 Jun 14;2(3):e213-6. doi: 10.1016/j.eats.2013.02.010. eCollection 2013.
Traditional techniques for acetabular osteoplasty in femoral acetabular impingement have required surgical detachment of the labrum at the chondrolabral junction. Such approaches compromise labral blood flow and contribute to a limited ability for healing at the chondrolabral junction. In this technical note and accompanying video, we present a technique for preservation of the chondrolabral junction during labral repair and acetabular osteoplasty. We elevate the chondrolabral complex subperiosteally off the acetabular rim, and the acetabular shelf is then contoured under fluoroscopic guidance. The labrum is then repaired and reconstituted to a new anatomic footprint. We find this technique to be advantageous because it preserves the blood flow to the labrum, thereby maximizing healing potential. Outcome studies are warranted to further elucidate the functional and outcome benefits of this surgical technique.
传统的股骨髋臼撞击症髋臼截骨术技术需要在软骨盂唇交界处手术分离盂唇。这种方法会损害盂唇的血流，并导致软骨盂唇交界处的愈合能力受限。在本技术说明及随附视频中，我们介绍一种在盂唇修复和髋臼截骨术期间保留软骨盂唇交界处的技术。我们在骨膜下将软骨盂唇复合体从髋臼边缘掀起，然后在透视引导下对髋臼骨板进行塑形。然后修复盂唇并将其重建到新的解剖足迹。我们发现该技术具有优势，因为它保留了盂唇的血流，从而最大限度地提高了愈合潜力。有必要进行结果研究以进一步阐明这种手术技术的功能和结果优势。
